NBME 10 Exam Questions with 100% Correct Answers If 13 year old patients concern is excess vaginal spotting do yu need to measure FSH or
LH Correct Answer No
Patients with wiskott aldrich syndrome are particularly susceptible to (3) infections Correct Answer Strep pneumo, neisseria, h flu
Patients with wiskott aldrich syndrome are particularly susceptible to what disease (2) Correct Answer Autoimmune disease, leukemia
Which ig values are normal in wiskott aldrich? Which are low Correct Answer Low IgM, IgG. Normal IgA, IgE
Patient with UC is becoming less responsive to prednisone, what is the next step in management and what test do you do before initiating pharmacotherapy Correct Answer TNF alpha. TB test
If stroke is >4.5 hours what treatment Correct Answer Aspirin
If stroke was <24 hours ago and stroke demonstrates anterior circulation stroke what treatment Correct Answer Mechanical thrombectomy if a thrombus was visualized
Unilateral cervical LAD with overlying purplish hue Correct Answer Mycobacterium avium intracellulare
Treatment for mac infection Correct Answer Surgical excision or combination of macrolide and ethambutol +/- rifampin
Is there point tenderness in vertebral osteomyelitis Correct Answer Yes
What cultures for osteomyelitis? What is required for diagnosis (2) Correct Answer Blood culture for the organism. Bone biopsy because blood culture is negative 50% of the time, MRI confirms presence
If RA patient has joint swelling do you do x ray or arthrocentesis Correct Answer Arthrocentesis, do x ray if there is history of trauma to the joint to determine fracture
Hypokalemia presentation Correct Answer Muscle weakness, ileus, paresthesia, hyporeflexia, long QT
Hypocalcemia presentation Correct Answer Carpopedal spasm, laryngospasm, long QT Hypochloridria presentation Correct Answer Asymptomatic
Hypomagnesemia presentation Correct Answer Cardia arrhythmia, seizures, tetany
Hyponatremia presentation Correct Answer Nausea, malaise, lethargy, coma, cerebral edema
Laxative abuse causes what electrolyte deficiency Correct Answer Hypokalemia
Example of renal parenchymal disease Correct Answer Diabetic nephropathy
Diagnosis of RAS (2 Correct Answer Abdominal bruit, renal artery doppler ultrasound or
MRA
If a 25 year old patient has increased total cholesterol, decreased HDL and increased LDL what further workup Correct Answer None, women under the age of 40 do not require screening for hyperlipidemia unless theres family history of MI at a young age
Patients with HIV are considered to have a positive PPD if induration at 48 hours is >_mm. what is the next step and treatment Correct Answer >5 mm. next step is CXR to rule out active infection. If latent treat with rifampin
Decreased LVEF is characteristic of Correct Answer Systolic HF or cardiogenic shock
Decreased RVEF is characteristic of Correct Answer RV HF (can be sequela of untreated chronic OSA)
Increased pulmonary venous pressure occurs in the setting of (2) Correct Answer LHF or severe MR
Effects of opioid induced constipation Correct Answer Crampy lower abdominal pain, with no abdominal tenderness
Does bladder polyp cause hematuria Correct Answer No its probably cancer
What is fetal loss after 20 weeks usually caused by in high income countries (3) Correct Answer Chromosomal abnormalities, uteroplacental insufficiency, maternal disease
What is fetal loss after 20 weeks usually caused by in low income countries (3) Correct Answer Maternal infection, preeclampsia, obstructed labor
In patients with previous antepartum fetal demise what additional screening Correct Answer Ultrasound across the gestation to determine age, congenital anomalies, amniotic fluid volume, monitoring of fetal growth.
LH Correct Answer No
Patients with wiskott aldrich syndrome are particularly susceptible to (3) infections Correct Answer Strep pneumo, neisseria, h flu
Patients with wiskott aldrich syndrome are particularly susceptible to what disease (2) Correct Answer Autoimmune disease, leukemia
Which ig values are normal in wiskott aldrich? Which are low Correct Answer Low IgM, IgG. Normal IgA, IgE
Patient with UC is becoming less responsive to prednisone, what is the next step in management and what test do you do before initiating pharmacotherapy Correct Answer TNF alpha. TB test
If stroke is >4.5 hours what treatment Correct Answer Aspirin
If stroke was <24 hours ago and stroke demonstrates anterior circulation stroke what treatment Correct Answer Mechanical thrombectomy if a thrombus was visualized
Unilateral cervical LAD with overlying purplish hue Correct Answer Mycobacterium avium intracellulare
Treatment for mac infection Correct Answer Surgical excision or combination of macrolide and ethambutol +/- rifampin
Is there point tenderness in vertebral osteomyelitis Correct Answer Yes
What cultures for osteomyelitis? What is required for diagnosis (2) Correct Answer Blood culture for the organism. Bone biopsy because blood culture is negative 50% of the time, MRI confirms presence
If RA patient has joint swelling do you do x ray or arthrocentesis Correct Answer Arthrocentesis, do x ray if there is history of trauma to the joint to determine fracture
Hypokalemia presentation Correct Answer Muscle weakness, ileus, paresthesia, hyporeflexia, long QT
Hypocalcemia presentation Correct Answer Carpopedal spasm, laryngospasm, long QT Hypochloridria presentation Correct Answer Asymptomatic
Hypomagnesemia presentation Correct Answer Cardia arrhythmia, seizures, tetany
Hyponatremia presentation Correct Answer Nausea, malaise, lethargy, coma, cerebral edema
Laxative abuse causes what electrolyte deficiency Correct Answer Hypokalemia
Example of renal parenchymal disease Correct Answer Diabetic nephropathy
Diagnosis of RAS (2 Correct Answer Abdominal bruit, renal artery doppler ultrasound or
MRA
If a 25 year old patient has increased total cholesterol, decreased HDL and increased LDL what further workup Correct Answer None, women under the age of 40 do not require screening for hyperlipidemia unless theres family history of MI at a young age
Patients with HIV are considered to have a positive PPD if induration at 48 hours is >_mm. what is the next step and treatment Correct Answer >5 mm. next step is CXR to rule out active infection. If latent treat with rifampin
Decreased LVEF is characteristic of Correct Answer Systolic HF or cardiogenic shock
Decreased RVEF is characteristic of Correct Answer RV HF (can be sequela of untreated chronic OSA)
Increased pulmonary venous pressure occurs in the setting of (2) Correct Answer LHF or severe MR
Effects of opioid induced constipation Correct Answer Crampy lower abdominal pain, with no abdominal tenderness
Does bladder polyp cause hematuria Correct Answer No its probably cancer
What is fetal loss after 20 weeks usually caused by in high income countries (3) Correct Answer Chromosomal abnormalities, uteroplacental insufficiency, maternal disease
What is fetal loss after 20 weeks usually caused by in low income countries (3) Correct Answer Maternal infection, preeclampsia, obstructed labor
In patients with previous antepartum fetal demise what additional screening Correct Answer Ultrasound across the gestation to determine age, congenital anomalies, amniotic fluid volume, monitoring of fetal growth.
